Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 039036 | CT |
N | 111NI0900X | Internist | 039036 | CT |
N | 207R00000X | Internist | TL32385 | SC |
N | 111NI0900X | Internist | TL32385 | SC |
N | 207RI0200X | Infectious Disease | 039036 | CT |
Y | 207RI0200X | Infectious Disease | 32385 | SC |
N | 207RI0200X | Infectious Disease | TL32385 | SC |
NPI | 1023049269 |
---|---|
Provider Name | Dr. Sharon B. Weissman |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 23/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0323372 | (05) | CT |
323858 | (05) | SC |
AA51482603 | MEDICARE PTAN (01) | SC |
G36052 | (02) |